术前风险评估及对症护理对老年复杂腹股沟疝患者手术安全性的影响及预后恢复情况分析

doi:10.3969/j.issn.1671-7171.2020.06.028

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Abstract 【Objective】To explore the effect of preoperative risk assessment and symptomatic nursing on the safety of operation and the recovery of prognosis in the elderly patients with complicated inguinal hernia.【Methods】From January 2016 to December 2019, 88 elderly patients with complex inguinal hernia were selected and divided into control group (routine operation nursing) and observation group (routine operation nursing + preoperative risk assessment and symptomatic Nursing) according to the random table method, 44 cases in each group. The recovery of gastrointestinal function and improvement of quality of life were compared between the two groups, and the incidence of complications and recurrence rate were recorded. 【Results】The anal exhaust time, bowel sounds recovery time, postoperative eating time and gastrointestinal peristalsis start time in the control group were longer than those in the observation group (P<0.05). The total incidence of complications in the control group was 27.27% (12/44), significantly higher than that in the observation group (13.64%) (6/44), the difference was statistically significant (χ²=5.709,P=0.017<0.05).The recurrence rate in the control group was 15.91% (7/44), which was significantly higher than 4.55%(2/44) in the observation group, and the difference was statistically significant (χ²=7.026,P=0.008<0.05). The total score SF-36 the quality of life scale in the control group was (70.11±3.25), which was significantly lower than that in the observation group (79.82±5.18), and the difference was statistically significant (t=10.533, P<0.05).【Conclusion】The results of preoperative risk assessment and symptomatic nursing for the elderly patients with complicated inguinal hernia operation are better, with fewer complications and high safety, which is worthy of clinical application.

Key words： Hernia, Inguinal/SU Hernia, Inguinal/NU

Received: 08 May 2020

PACS:

R656.21

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YU Sai-fen. Influence of Preoperative Risk Assessment and Symptomatic Nursing on the Operation Safety and Prognosis Recovery of Elderly Patients with Complicated Inguinal Hernia[J]. JOURNAL OF CLINICAL RESEARCH, 2020, 37(6): 892-894.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.06.028 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I6/892

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